Indication-based clinical decision support for inpatient urine testing: impacts on utilization… | ScholarDeck

Paper

Indication-based clinical decision support for inpatient urine testing: impacts on utilization, appropriateness, and antibiotic prescribing.

New research · Internal Medicine

Antimicrobial stewardship & healthcare epidemiology : ASHE · 4w

StudyAntimicrobial stewardship & healthcare epidemiology : ASHE· 2026

Indication-based clinical decision support for inpatient urine testing: impacts on utilization, appropriateness, and antibiotic prescribing.

Mario Luis Valdez Imbert, Allyson Larcena Tipgos, Majd Alsoubani … Kap Sum Foong

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Infectious DiseaseStudyClinical practiceQ2IF 1.6

Clinical decision support lowered reflex urine culture orders in hospitalized patients.

Indication-based clinical decision support for inpatient urine testing: impacts on utilization, appropriateness, and antibiotic prescribing.

Mario Luis Valdez Imbert … Kap Sum Foong

Antimicrobial stewardship & healthcare epidemiology · 2026

Methods

Effect was not fully sustained.

n = 1,000 patient

Results

Urinalysis-with-reflex-to-culture orders fell about 63 per 1,000 patient-days after the alert.

Urinalysis-with-reflex

-62.7/1,000

Urinalysis

41.4/1,000

“

Conclusion

Ordering appropriateness remained low, and antibiotics were often prescribed without documented symptoms, suggesting clinical decision support alone is insufficient.

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